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Organization
SUNNY DENTAL SPA LLC
Active
Organization
SUNNY DENTAL SPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNY MICHELINE CLEMENTINO DE SA DDS (DENTIST)
(919) 525-0224
Entity
Organization
Contact information
Practice address
6305 INITIATIVE BLVD, SARASOTA, FL 34240-1382
(919) 525-0224
Mailing address
9073 ARTISAN WAY, SARASOTA, FL 34240-2503
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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